Our society will continue to insist on using chronological age for many purposes. We can live with this practice if we recognize that to set up a chronological checkpoint for calling a person ‘old’ is simply a matter of administrative or statistical convenience. It is an unfortunate usage but difficult to avoid. We can, as a society, minimize the negative impact of this practice by making a clear distinction in our own minds between chronological age and the individual’s actual physical, mental and social situation. We can also refuse to be swept along by the implicit relationship between chronological age and human value. ‘Ten years older’ does not mean ‘ten years worse’ or ‘ten years less valuable.’

Age-grading emphasizes society’s interest; functional age emphasizes the direct facts about the individual.

Lately, I’ve been giving a lot of thought to our profession, post-acute and aging services, and began to wonder if anything we do matters.

With all the challenges from regulators, attorneys, payers, and the press, why do we do it? Not WHAT we do, or even HOW we do it, but WHY? Simon Sinek wrote an entire book on the topic, entitled, Start with Why, and spoke on it in a widely viewed TED Talk several years ago (use this link to view the original “Start with WHY” talk https://www.youtube.com/watch?v=IPYeCltXpxw).

“I feel like a mushroom. They keep me in the dark, so I keep them in the dark.”

A key member of a leadership team muttered these powerful words when we conducted an organizational assessment for his company. This is what happens when organizations fail to create a culture that embraces open communication.

Consider how damaging it is when an influential member of your leadership team withholds information. From you. From staff. From residents. The negative impact is tremendous.

Creating culture candor.

Organizations that have a strong culture that focuses on communication will outperform those left “in the dark.” Transparency allows organizations to run more efficiently and effectively.

It starts with sharing information. Anytime you have an important message to communicate, we suggest doing so in at least five ways. Some ideas include:

For some reason, many leaders in healthcare like to equate things in their lobby to person-centered care. Player pianos. Coffee for visitors. Seating areas with plants. Leaders that were eager to tell me about how they are “doing” culture change have proudly presented each of these examples to me.

A person who appears demented may be tormented by grief and anxiety. His demented behavior may have been brought about by emotional pain. A grieving person at any age is less able to pay close attention to everything that happens around him. He takes less care in grooming and dress. He has less emotional energy to welcome new opportunities or to respond to challenges. He feels uncomfortable with his body. His mind may be constantly uneasy or tortured.

Loss and grief are common in old age as death removes loved ones. An old person may have suffered other significant losses, of occupation, residence, physical mobility, belonging, or usefulness – all of which produce a grief response.

There are many individuals in their later years who question their continued mental functioning with this thought, “Will I become senile?” The fear of growing old casts a shadow over many lives in our society long before the first deep wrinkle announces that old age has arrived. Yet, most people retain resources and powers well into and far beyond what we or they imagine.

As a blossoming leader in long-term care with a specific mission, vision and value for what I want to create for the consumers I serve, my support system is an integral part of developing and enhancing those values and that vision.

The American College of Healthcare Administrators (ACHCA) has been instrumental in the development of my mission and vision for long term care. As a student of St. Joseph’s College of Maine’s Long Term Care Administration program, I was introduced to ACHCA at the beginning of my capstone project. My professor, Philip DuBois, had strongly encouraged my membership as a not merely important part of my education, but a mission critical step in developing myself as a leader within a network of other administrators that share my values and pursuit of excellence in this particular field.

Today, the Centers for Medicare & Medicaid Services (CMS) finalized rules to establish consistent emergency preparedness requirements for health care providers participating in Medicare and Medicaid, increase patient safety during emergencies, and establish a more coordinated response to natural and man-made disasters. These new rules will require certain participating providers and suppliers to plan for disasters and coordinate with federal, state, tribal, regional, and local emergency preparedness systems to ensure that facilities are adequately prepared to meet the needs of their patients during disasters and emergency situations. The effective date will be November 16, 2016 and the implementation date will be November 16, 2017. [emphasis added]

One of the most exciting things has been the migration to a new Association Management System (AMS) that deepens the connection between members, automates many services, and provides easy access to information using one entry point: the New Member Portal.